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DEFOREST DENTAL SERVICES
NPI 1730282344
Dentist - General Practice in Deforest, WI

Active since September 07, 2006
210 N. MAIN ST., STE 103, DEFOREST, WI 53532(608) 846-3948(608) 846-7526 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deforest Dental Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEFOREST DENTAL SERVICES (NPI 1730282344) is a healthcare organization registered as a general practice in Deforest, Wisconsin and active in the NPI registry since September 2006. The organization lists Gerald Roger Corcoran, President, as its authorized official.

NPPES Registry Identity

NPI1730282344
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEFOREST DENTAL SERVICES
Location Address210 N. MAIN ST., STE 103Deforest, WI 53532
Mailing Address210 N. Main St., Ste 103Deforest, WI 53532 · (608) 846-3948 · Fax (608) 846-7526
Phone(608) 846-3948
Fax(608) 846-7526
Organization SubpartNo
Authorized OfficialGerald Roger CorcoranPresident · (608) 846-3948
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730282344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 2412WI
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
210 N. MAIN ST., Deforest, WI 53532
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deforest Dental Services's NPI number?

The NPI number for Deforest Dental Services is 1730282344. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is Deforest Dental Services located?

Deforest Dental Services is located at 210 N. Main St. Ste 103, Deforest, WI 53532. The listed phone number is (608) 846-3948.

What is Deforest Dental Services's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Deforest Dental Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.